HomeMy WebLinkAboutPermit File BLD-2021-0173 4210 Osprey Lane 0` 'f Cityof Anacortes _ _
invoice/Permit #: BLD 2021 0173
904 6th Street
Applied date: 03/05/2021
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.3 Anacortes, WA 98221-0547 Issue date:
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}- Expire date: 09/01/2022
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Job Address: 4210 OSPREY LN Permit Type: Fence Permit
ANACORTES WA 98221 Project:
APN:
Remarks: INSTALL A FENCE.. NEED SITE PLAN SHOWING FENCE LOCATION. CONTRACTOR NEEDS A CITY OF
ANACORTES BUSINESS LICENSE PRIOR TO WORK.
Owner: MARTY & SUSAN WICK Contractor: DMC FENCE CO
Address: 4210 OSPREY LN Address: 2018 CREEKSIDE CIR
ANACORTES WA 98221 ANACORTES WA 98221-2460
Phone: (206) 498-9522 Phone: (360) 630-4023
License #:
General Information: Fees:
fence permit 15.00
Total Calculated: 15.00
Deposits/Receipts: 0.00
Total Due: 15.00
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The issuance or granting_of this permit,,sl all not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
tfie ;Qf an gt�atiolor fgd41,a gw; doban order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
gr ng Oftwpernitjtorttooteted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
fEd aJ;49y►r,0o J r l rfi,prq r�ation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. The building official s_rauthorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
jii6Saidf76r 6ra`ri other ordinance at executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
tfle GgverrfpAnThe tbuilding officiplAs authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inarate;ar,=incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of tie Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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Finance Department
021064-0013 Erin W . 03/05/2021 09:37AM
PERMITS AND INSPECTIONS
MARTY & SUSAN WICK
BLD-2021-0173
Fence Permit
INSTALL A FENCE . . . NEED
SITE PLAN SHOWIN
pending
2021 Item : BLD-2021 -0173
fence permit 15 ,00
Payment Id: 309534
15.00
Subtotal 15.00
Total 15.00
CHECK 15100
Check Number1507
Change due 0.00
Paid by : MARTY & SUSAN WHY
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Thank you for your payment
COPY
DUPLICATE RECEIPT
ClT y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547,Anacortes, WA 98221
Office Location:904 6th Street,Anacortes WA 98821
�`tq `y . Phone: (360)293-1901
JÔ - öL73
FENCE PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
? iD Os-pre. IV PI 25 .3`ftD
Subdivision/Lot#: ij Zoning Des' ation:
2. FENCE INFORMATION
Lot Type Height Material
(measured from finished grade to the top of the fence;
(see AMC 19.12.020(L)for definitions) see AMC 19.65.050)
Corner Front: S vwc 'Wood
❑ Interior Side: i ( r ❑ Chain Link(see AMC 19.66.070 for areas
where chain link is prohibited).
OW Through Side: r r r ❑ Other:
Rear:
3. SUBMITTAL REQUIREMENTS
A site plan that includes the following information:
• All lot lines(the accurate location of all property lines is the responsibility of the property owner)
• All structures(buildings,existing fences,neighboring buildings within 10',etc.)
• The proposed location of the fence/wall line(s)with height labeled
o Label the fence/wall distance from property line and public sidewalk or sidewalk
easement(note: all fences and walls must be a minimum of 18"setback from public
sidewalk or sidewalk easement)
• Any public or private right-of-ways
• Utility easements
• Clear vision triangles(see AMC 19.69.070)
• Critical areas and buffers(if applicable)
• Landscaping Plan (if applicable,see attached information sheet to see if landscaping will be
required).
4. PROPERTY OWNER INFORMATION
Name: Phone:
Address(Street City,State,Zip): Email Address:
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City Of Anacortes Fence Permit Application Page 1 of 4
5. CONTRACTOR INFORMATION
Name:* T Phone:
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City of
Anacortes business license prior to doing work in the City. Expiration Date: Expiration Date:
Address(Street,City,State,Zip): Email Address:
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6. CONTACT PERSON
Select one person the city will contact for anything related
❑ Property Owner ❑ Contractor
to this project: ❑ Other(list below)
Naze Phone:
n�l t GEC V D (93 -
Address(Street,City,State,Zip):,, Email Address:
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7. ACKNOWLEDGEMENTS & SIGN TURE
Read and initial each of the following statements prior to signing this application:
I understand that the city's issuance of a fence permit does not constitute confirmation of the
accuracy of property lines as described in the application. Confirmation of the accurate location
of all property lines is the responsibility of the property owner or contractor.
By affixing my signature hereto, I certify that I am the owner, or am acting as the Owner's authorized
agent, and that the application and documents contained with this submittal are complete and
accurate to the best of my knowledge and abilities.
Signature Date
City Of Anacortes Fence Permit Application Page 2 of 4